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Individual

BROOKE NICOLE BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, MS

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-9290
(859) 218-4267
Mailing address
1000 S LIMESTONE, ROOM H112, LEXINGTON, KY 40536-0001

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
03337509
OH
183500000X
Pharmacist
26027982A
IN
1835P2201X
Ambulatory Care Pharmacist
Primary
021673
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021673
KENTUCKY PHARMACIST LICENSE
KY
01
03337509
OHIO PHARMACIST LICENSE
OH
01
26027982A
INDIANA PHARMACIST LICENSE
IN
Enumeration date
10/25/2018
Last updated
03/12/2026
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